Healthcare Provider Details
I. General information
NPI: 1912780917
Provider Name (Legal Business Name): JR ALMOND & BM ALMOND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8305 W QUINAULT AVE
KENNEWICK WA
99336-1138
US
IV. Provider business mailing address
8305 W QUINAULT AVE
KENNEWICK WA
99336-1138
US
V. Phone/Fax
- Phone: 509-628-0110
- Fax: 509-628-8590
- Phone: 509-628-0110
- Fax: 509-628-8590
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRIAN
ALMOND
Title or Position: DOCTOR, OWNER
Credential: DDS, MSD
Phone: 509-628-0110